Final Part 2

Question 1

Bimodal Neuromodualtion systems

Answer 1

Lenire
physiotherapy & head & neck manipulation

Question 2

Bimodal Neuromodualtion systems

Lenire

Answer 2

• Combines auditory stimulation via headphones with somatosensory stimulation through a tongue device,
• targeting both the trigeminal and auditory nerves to potentially alter tinnitus pathways in the brain.
• Studies report that 95% of participants experienced symptom improvement after 12 weeks of daily use, with 91% maintaining benefits at 12 months.

Question 3

Bimodal Neuromodualtion systems

physiotherapy & head & neck manipulation

Answer 3

Physiotherapy and head and neck manipulation can alleviate tinnitus, especially when linked to TMD or neck issues.

Question 4

Any condition in which a patient exhibits any kind of negative reactions to ordinary sounds, which do not elicit such reactions in the average listener.

Answer 4

Decreased sound tolerance

Question 5

Define Decreased sound tolerance

Answer 5

Decreased sound tolerance: any condition in which a patient exhibits any kind of negative reactions to ordinary sounds, which do not elicit such reactions in the average listener.

Question 6

• Significantly reduced tolerance to sound that do not trouble most people.
• Negative reactions depend on the physical characteristics the sounds.

Answer 6

Hyperacusis

Question 7

Define Hyperacusis

Answer 7

• Significantly reduced toelrance to sounds that do not troubel most people
• Negative reactions depend on the physical characteristics of the sound
• Physical chatacteristics = intensity, frequency

Question 8

Name the 4 types of hyperacusis

Answer 8

• loudness hyperacusis
• annoyance hyperacusis
• Fear hyperacusis
• Pain Hyperacusis

Question 9

• A dislike of certain specific sounds that trigger emotional reactions.
• Patients with misophonia can tolerate high levels of other sounds such as music or environment noise.
• Not related to physical characteristics of a sound.
• It can occur together with tinnitus and but may also occur alone.
• psychiatric disorder

Answer 9

Misophonia

Question 10

Define misophonia

Answer 10

• dislike specific sounds that. trigger emotional reponse
• can tolerate high levels of sound (music enviormental)
• Not depndent on physical charateristics
• Can occur with tinnitus and hyperacusis
• psychiatric disorder

Question 11

Subcategory when fear of sound is involved. (sub category)
Reaction is only Fear
Defined as an anxiety disorder that is characterized as a persistent, abnormal, and unwarranted fear of sound (often everyday sounds) shaped by an emotional meaning.
Negative reaction to certain sounds, including anxiety and fear that is intensified with anticipation of the sound.

Answer 11

Phonophobia

Question 12

Misophonia VS Phonophobia:

Answer 12

Misophonia VS Phonophobia: Misophonia can trigger any emotional response (disgusted, angry, irritated, etc.) and phonophobia only triggers a response of fear.

Question 13

define phoniphobia

Answer 13

• specific case of misophonia where fear of sound is involved
• Specific sound you fear
• Reaction is only Fear
• anxiety disorder persistent, abnormal and unwarranted fear of sound
• negative reaction to certain sounds, anxiety and fear are inetsnified with anticipation of sound

Question 14

Define Loudness recuritment

Answer 14

abnromal raid growth of loudness with increassing sound level; caused by loss of outer hair cells
reduced dynamic range

Question 15

Hyperacusis VS Misophonia

Answer 15

Hyperacusis is recuded tolerance for all sounds that are medium to loud
Misophonia: trigger specific sounds are soft or medium or loud. intensity doent matter

Question 16

common misophonia triggers

Answer 16

• Oral or Eating Sounds (81%): Chewing, lip smacking, yawning.
• Breathing Sounds (64.3%): Sniffling.
• Repetitive Sounds (59.5%): Keyboard typing, pen clicking.
• Speech Sounds: The “s” sound, tongue clicking.
• Household Sounds: Dishes clinking, silverware clinking, plastic bags or wrappers crinkling.
• Footsteps.
• Finger Tapping.
• Whistling.
• Low-Frequency Sounds: Unspecified in studies.
• Animal Sounds: Toenails clicking on floors, barking.
• Visual Triggers: Leg rocking (reported in some cases).

Question 17

common complaints of patients with hyperacusis

Answer 17

• Discomfort
• Headache
• Concentration Difficulties
• Fatigue
• Anxiety

Question 18

Hyperacusis and Misophonia